Henricksen, Zilla F
Henricksen, Zilla F is an individual health care provider with primary practice located at 5194 Highway 100 Ste 106 , Lyles TN 37098-2822. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Henricksen, Zilla F can be contacted via phone (931) 670-1102.Contact Information
Primary practice address
5194 Highway 100 Ste 106
Lyles TN 37098-2822
Phone: (931) 670-1102
Fax: (931) 670-1065
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP129005 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APN19374 | Tennessee |
Profile Details
NPI number | 1578934790 |
---|---|
LBN Legal business name | Henricksen, Zilla F |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 14th, 2015 |
Last updated | Aug 19th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578934790 | NPPES |
Texas | Other | 00FM20 | MEDICARE PTAN |
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